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Healthcare Claims Management Jobs (NOW HIRING)

Managed Staffing

Healthcare Claims Examiner

Whittier, CA · On-site

$31 - $32/hr

This role reports directly to the Claims Manager and requires prior experience working in a healthcare or managed care environment. Key Responsibilities * Process and adjudicate UB-92 and HCFA-1500 ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$18 - $20/hr

Healthcare Claims Specialist (CONTRACT Opportunity) Downtown Tulsa, OK Monday-Friday | 8:00 AM - 5:00 PM | Onsite Project Assignment Through March 2027 - IMMEDIATE START Pay rate DOE: $18-20/hr.

Insperity

Director of Claims- Healthcare

Chatsworth, CA · On-site +1

$130K - $160K/yr

Description & Requirements Director of Claims- Healthcare Preferred IPA of California is committed to delivering exceptional care management, care coordination, and claim processing services that ...

System One

Healthcare Claims Specialist

Tulsa, OK · On-site

$20/hr

Healthcare Claims Project Specialist - Contract Downtown Tulsa | $20/hour | Immediate Start Long-term project through March 2027! Monday-Friday, 8 AM-5 PM | 100% Onsite System One is looking for ...

Village Care

HealthCare Claims Analyst

Manhattan, NY · On-site

$65K - $72K/yr

Position: HealthCare Claims Analyst Location: Hybrid (Must Reside in NY/NJ/CT) Compensation: $65 ... managed care services. Our mission is to promote healing, better health and well-being to the ...

Leading Edge

Healthcare Claims Supervisor

Tampa, FL · On-site

... for healthcare services provided to patients. This role will develop and share knowledge of ... Effectively manage the performance of the Claims Team by providing daily leadership and support ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

Bachelor's degree in Healthcare Administration, Business Administration, or related field. Experience Minimum: At least five years of managed care claims processing experience. Two or more years of ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...

System One

Healthcare Claims Adjuster

Baltimore, MD · Remote

$25/hr

Job Title : Healthcare Claims Adjuster Location : Baltimore, Maryland (meetings and tranings) Type: Contract To Hire Compensation : $25/HR Contractor Work Model : 80% Remote (must reside in D.C., MD ...

KARNA LLC

$22 - $25/hr

Analyze and report on trends in claim issues or irregularities to management, contributing to ... Understanding of medical terminology, healthcare services, and insurance procedures (worker ...

Tmhcc

Lead Healthcare Claims Assistant

New York, NY · Hybrid

$29.90 - $51.35/hr

Lead Healthcare Claims Assistant Location: New York or Chicago Work Schedule: Hybrid Employment ... Respond to and manage loss run requests. * Perform close activities and prepare reports on an as ...

System One

Healthcare EDI Claims Analyst

Columbia, MD · On-site

$52.96/hr

Healthcare EDI Claims Analyst Location: Hybrid - Columbia/Baltimore, MD (2-3 days onsite per month ... Incident/ticket management experience. * Basic SQL skills for querying and analyzing data.

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Healthcare Claims Management information

See salary details

$35K

$87.9K

$139K

How much do healthcare claims management jobs pay per year?

As of Aug 27, 2026, the average yearly pay for healthcare claims management in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 per year, depending on experience, location, and employer.

What is healthcare claims management?

Healthcare claims management is the process of handling medical insurance claims, from submission to reimbursement. It involves reviewing, processing, and following up on claims sent to insurance companies by healthcare providers. The goal is to ensure that providers are accurately paid for services rendered and that patients' insurance benefits are correctly applied. Effective claims management helps reduce denials, improve cash flow, and minimize administrative errors in healthcare billing.

What are the key skills and qualifications needed to thrive in healthcare claims management?

To thrive in Healthcare Claims Management, you need a solid understanding of medical billing, insurance policies, coding systems (such as ICD-10 and CPT), and typically a relevant associate’s or bachelor’s degree. Familiarity with claims processing software, electronic health record (EHR) systems, and regulatory compliance tools is essential. Strong attention to detail, analytical thinking, and effective communication help you resolve discrepancies and interact with providers and payers. These skills are crucial for ensuring accurate claims processing, minimizing denials, and maintaining efficient revenue cycles in healthcare organizations.

What are some common challenges faced in healthcare claims management, and how can professionals effectively address them?

Healthcare claims management professionals often encounter challenges such as processing complex claims, navigating frequent regulatory changes, and handling denied or delayed claims. To address these issues, professionals must stay updated on the latest healthcare regulations and payer requirements and develop strong attention to detail when reviewing documentation. Collaborating closely with billing teams and insurance providers, as well as using advanced claims management software, can help streamline workflows and reduce errors, ultimately improving the accuracy and efficiency of claims processing.

What is the difference between Healthcare Claims Management vs Medical Billing Specialist?

AspectHealthcare Claims ManagementMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, coding, and claims processing; certifications like CPC or CCS are commonRequires coding and billing knowledge; certifications like CPC are often preferred
Work EnvironmentOften in healthcare offices, insurance companies, or claims processing centersPrimarily in medical offices, hospitals, or billing companies
Job FocusManaging and processing insurance claims, resolving claim denials, ensuring compliancePreparing and submitting patient bills, coding procedures, and following up on payments
Industry UsageUsed across healthcare providers, insurance companies, and third-party administratorsPrimarily used within healthcare providers' billing departments

While both roles involve billing and coding, Healthcare Claims Management focuses on overseeing the entire claims process, including denials and compliance, whereas Medical Billing Specialists handle the day-to-day billing and coding tasks for patient accounts.

Is healthcare claims management a stressful job?

Healthcare claims management can be stressful due to the need for accuracy, meeting deadlines, and handling complex insurance policies. The role often requires attention to detail, strong organizational skills, and the ability to manage high workloads, especially during busy periods or audits.
More about Healthcare Claims Management jobs

What cities are hiring for Healthcare Claims Management jobs?

Cities with the most Healthcare Claims Management job openings:

What states have the most Healthcare Claims Management jobs?

States with the most job openings for Healthcare Claims Management jobs include:

What job categories do people searching Healthcare Claims Management jobs look for?

The top searched job categories for Healthcare Claims Management jobs are:

Healthcare Claims Management jobs near you
Infographic showing various Healthcare Claims Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $87,861 per year, or $42.2 per hour.

Healthcare Claims Examiner

Whittier, CA • On-site

Managed Staffing
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about Managed Staffingexternal

$31 - $32/hr

Contractor

Re-posted 18 days ago

Job description

Healthcare Claims Examiner

Location: Whittier, CA
Shift: Monday – Friday | 7:00 AM – 3:30 PM
 

Position Overview

We are seeking an experienced Claims Examiner with strong UB-92 and HCFA-1500 claims processing experience. The Claims Examiner will be responsible for reviewing, adjudicating, and processing professional and facility claims for HMO patients. This role reports directly to the Claims Manager and requires prior experience working in a healthcare or managed care environment.

Key Responsibilities

  • Process and adjudicate UB-92 and HCFA-1500 claims for medical groups, hospitals, and ancillary providers.

  • Ensure claims are paid accurately and in compliance with timeliness and payment guidelines.

  • Interpret provider contracts and apply correct reimbursement terms.

  • Identify and manage non-contracted providers for Letter of Agreement (LOA) consideration.

  • Maintain accurate claim records and perform data entry within managed care systems.

  • Collaborate with internal teams to resolve claim discrepancies or escalations.

Required Qualifications

  • Education: High School Diploma or GED (must be verifiable).

  • Experience: Minimum 2 years of claims adjudication experience in an ambulatory, hospital, HMO, or IPA environment.

  • Hands-on experience with UB-92 and HCFA-1500 claims forms.

  • Knowledge of payment methodologies for hospitals, skilled nursing facilities, and professional services.

  • Understanding of compliance, Medi-Cal, and commercial claims processing standards.

  • Strong computer and data entry skills with managed care systems.